Appearance anxiety and social anxiety: A mediated model of self-compassion

Jie Gao, Yi Feng, Shicun Xu, Amanda Wilson, Hui Li, Xiaofeng Wang, Xi Sun, Yuanyuan Wang, Jie Gao, Yi Feng, Shicun Xu, Amanda Wilson, Hui Li, Xiaofeng Wang, Xi Sun, Yuanyuan Wang

Abstract

Background: Previous studies have focused on the comorbidity of appearance anxiety and social anxiety, but few studies have focused on the protective role of self-compassion as underlying this mechanism, in young people like University students. With the increase of prevalence of appearance anxiety and social anxiety in this age group, it is necessary to explore factors that can buffer against the symptoms of these disorders. Therefore, the aims of this study were to research the effect of appearance anxiety and social anxiety, then to examine whether self-compassion has a protective effect on social anxiety.

Method: The study was cross-sectional and conducted online from October 2021 to November 2021 in Jilin Province, China. A total of 63 Universities in the province participated in this study, totaling 96,218 participants, of which 40,065 were males (41.64%) and 56,153 females (58.36%), the mean age of the sample was 19.59 (±1.74). The Appearance Anxiety Scale-Brief Version was used to measure appearance anxiety. The Social Anxiety subscale of the Self-Consciousness Scale was used to measure social anxiety. The Self-Compassion Scale-Short Form was used to measure self-compassion. A structural equation model (SEM) was run to examine the mediating effect of self-compassion on the relationship between appearance anxiety and social anxiety.

Result: Overall, appearance anxiety was positively associated with social anxiety [β = 0.334, 95% CI = (0.328, 0.341), p < 0.001], and self-compassion could mediate the effect of appearance anxiety on social anxiety [β = 0.128, 95% CI = (0.124, 0.132), p < 0.001]. Self-compassion played a partial mediating role between appearance anxiety and social anxiety.

Conclusion: Individuals with high appearance anxiety are also at higher risk of social anxiety, but self-compassion can buffer against this relationship. These findings begin to explore novel approaches to treat social anxiety and can provide valuable insights for self-compassion training.

Keywords: appearance anxiety; mediating effect; self-compassion; social anxiety; structural equation model (SEM).

Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Copyright © 2023 Gao, Feng, Xu, Wilson, Li, Wang, Sun and Wang.

Figures

Figure 1
Figure 1
Pearson correlations of main variances. Sex, only child, and residence are dummy variables. Female = 1, others = 0; only child = 1, others = 0; urban = 1, others = 0. **p < 0.01.
Figure 2
Figure 2
The mediated model. ***p < 0.001.

References

    1. Davis C, Brewer H, Weinstein M. A study of appearance anxiety in young men. Social Behav Personal. (1993) 21:63–74. 10.2224/sbp.1993.21.1.63
    1. Hawes T, Zimmer-Gembeck MJ, Campbell SM. Unique associations of social media use and online appearance preoccupation with depression, anxiety, and appearance rejection sensitivity. Body Image. (2020) 33:66–76. 10.1016/j.bodyim.2020.02.010
    1. Ningning C. Nearly 60% of college students have appearance anxiety. China Youth Daily. (2021). Available online at:
    1. Jordan CD, Stewart RA, Brush CJ, Cougle JR, Hajcak G. Appearance concerns are uniquely associated with LPP amplitude to pictures of oneself. Soc Cogn Affect Neurosci. (2022) 17:430–6. 10.1093/scan/nsab115
    1. Brosof LC, Levinson CA. Social appearance anxiety and dietary restraint as mediators between perfectionism and binge eating: a six month three wave longitudinal study. Appetite. (2017) 108:335–42. 10.1016/j.appet.2016.10.015
    1. Boursier V, Gioia F. Women's pathological narcissism and its relationship with social appearance anxiety: the mediating role of body shame. Clin Neuropsychiatry. (2020) 17:164–74. 10.36131/cnfioritieditore20200304
    1. Reilly EE, Gordis EB, Boswell JF, Donahue JM, Emhoff SM, Anderson DA. Evaluating the role of repetitive negative thinking in the maintenance of social appearance anxiety: an experimental manipulation. Behav Res Ther. (2018) 102:36–41. 10.1016/j.brat.2018.01.001
    1. Stor MLE, Lokhorst MM, Horbach SER, Young-Afat DA, Spuls PI, van der Horst C. Appearance-related concerns and their impact on health-related quality of life in patients with peripheral vascular malformations. JPRAS. (2022) 75:4202–11. 10.1016/j.bjps.2022.08.042
    1. Sedova E, Kalina S, Gardanova Z. Negative attitude towards the appearance: connection with eating behavior and social anxiety. Eur Psychiatry. (2021) 64:S602–S602. 10.1192/j.eurpsy.2021.1606
    1. Bilsky SA, Olson EK, Luber MJ, Petell JA, Friedman HP. An initial examination of the associations between appearance-related safety behaviors, socioemotional, and body dysmorphia symptoms during adolescence. J Adolesc. (2022) 94:939–54. 10.1002/jad.12074
    1. Mo QL, Bai BY. Height dissatisfaction and loneliness among adolescents: the chain mediating role of social anxiety and social support. Curr Psychol. (2022). 10.1007/s12144-022-03855-9
    1. Fu T, Wang J, Xu S, Yu J, Sun G. Media internalized pressure and restrained eating behavior in college students: the multiple mediating effects of body esteem and social physique anxiety. Front Psychol. (2022) 13:887124. 10.3389/fpsyg.2022.887124
    1. Swami V, Barron D, Furnham A. Appearance orientation and dating anxiety in emerging adults: considering the roles of appearance-based rejection sensitivity, social physique anxiety, and self-compassion. Arch Sex Behav. (2022) 51:3981–92. 10.1007/s10508-022-02367-8
    1. Reilly EB, Stuyvenberg CL. A meta-analysis of loving-kindness meditations on self-compassion. Mindfulness. (2022). 10.1007/s12671-022-01972-x
    1. Sapach M, Carleton RN. Self-compassion training for individuals with social anxiety disorder: a preliminary randomized controlled trial. Cognitive Behav Therap. (2022) 52:18–37. 10.1080/16506073.2022.2130820
    1. Lou X, Wang H, Minkov M. The correlation between self-compassion and depression revisited: a three-level meta-analysis. Mindfulness. (2022) 13:2128–39. 10.1007/s12671-022-01958-9
    1. Muris P, Otgaar H. Deconstructing self-compassion: how the continued use of the total score of the self-compassion scale hinders studying a protective construct within the context of psychopathology and stress. Mindfulness. (2022) 13:1403–9. 10.1007/s12671-022-01898-4
    1. Neff K. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Identity. (2003) 2:85–101. 10.1080/15298860309032
    1. Allen LM, Roberts C, Zimmer-Gembeck MJ, Farrell LJ. Exploring the relationship between self-compassion and body dysmorphic symptoms in adolescents. J Obsessive Compuls Relat Disord. (2020) 25:100535. 10.1016/j.jocrd.2020.100535
    1. Gill C, Watson L, Williams C, Chan SWY. Social anxiety and self-compassion in adolescents. J Adolesc. (2018) 69:163–74. 10.1016/j.adolescence.2018.10.004
    1. Zhou LH, Chen G, Jiang YH, Liu LQ, Chen J. Self-compassion and confucian coping as a predictor of depression and anxiety in impoverished chinese undergraduates. Psychol Rep. (2017) 120:627–38. 10.1177/0033294117700857
    1. Beshai S, Salimuddin S, Refaie N, Maierhoffer J. Dispositional mindfulness and self-compassion buffer the effects of COVID-19 stress on depression and anxiety symptoms. Mindfulness. (2022) 13:3028–42. 10.1007/s12671-022-02008-0
    1. Thogersen-Ntoumani C, Dodos L, Chatzisarantis N, Ntoumanis N. A diary study of self-compassion, upward social comparisons, and body image-related outcomes. Appl Psychol Health Well Being. (2017) 9:242–58. 10.1111/aphw.12089
    1. Keelan JPR, Dion KK, Dion KL. Correlates of appearance anxiety in late adolescence and early adulthood among young women. J Adolesc. (1992) 15:193–205. 10.1016/0140-1971(92)90047-9
    1. Hewitt PL, Flett GL. Perfectionism in the self and social contexts: conceptualization, assessment, and association with psychopathology. J Pers Soc Psychol. (1991) 60:456–70. 10.1037/0022-3514.60.3.456
    1. Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the self-compassion scale. Clin Psychol Psychother. (2011) 18:250–5. 10.1002/cpp.702
    1. Bolin JH. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. J Educ Meas. (2014) 51:335–7. 10.1111/jedm.12050
    1. Gammage KLG, Martin Ginis KA, Hall CR. Self-presentational efficacy: its influence on social anxiety in an exercise context. J Sport Exer Psychol. (2004) 26:179–90. 10.1123/jsep.26.2.179
    1. Pawijit Y, Likhitsuwan W, Ludington J, Pisitsungkagarn K. Looks can be deceiving: body image dissatisfaction relates to social anxiety through fear of negative evaluation. Int J Adolesc Med Health. (2019) 39. 10.1515/ijamh-2017-0031
    1. Brooke CM, Intrieri RC. The influence of anxiety sensitivity, and personality on social anxiety symptoms. Curr Psychol. (2021). 10.1007/s12144-021-02238-w
    1. Levinson CA, Rodebaugh TL. Negative social evaluative fears produce social anxiety, food intake, and body dissatisfaction: evidence of similar mechanisms through different pathways. Clin Psychol Sci. (2015) 3:744–57. 10.1177/2167702614548891
    1. Adams KE, Tyler JM, Calogero R, Lee J. Exploring the relationship between appearance-contingent self-worth and self-esteem: the roles of self-objectification and appearance anxiety. Body Image. (2017) 23:176–82. 10.1016/j.bodyim.2017.10.004
    1. Lavell CH, Zimmer-Gembeck MJ, Farrell LJ, Webb H. Victimization, social anxiety, and body dysmorphic concerns: appearance-based rejection sensitivity as a mediator. Body Image. (2014) 11:391–5. 10.1016/j.bodyim.2014.06.008
    1. Mason TB, Lavender JM, Wonderlich SA, Crosby RD, Engel SG, Mitchell JE, et al. . Examining a momentary mediation model of appearance-related stress, anxiety, and eating disorder behaviors in adult anorexia nervosa. Eat Weight Disord. (2018) 23:637–44. 10.1007/s40519-017-0404-y
    1. Kotera Y, Young H, Maybury S, Aledeh M. Mediation of self-compassion on pathways from stress to psychopathologies among Japanese workers. Int J Environ Res Public Health. (2022) 19:12423. 10.3390/ijerph191912423
    1. Cândea DM, Szentágotai-Tătar A. The impact of self-compassion on shame-proneness in social anxiety. Mindfulness. (2018) 9:1816–24. 10.1007/s12671-018-0924-1
    1. Truong QC, Nguyen TM, Nguyen AH, Medvedeva A, Medvedev ON. Investigating stable and dynamic aspects of the vietnamese self-compassion scale using generalisability theory. Mindfulness. (2022) 13:2215–26. 10.1007/s12671-022-01950-3
    1. MacBeth A, Gumley A. Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clin Psychol Rev. (2012) 32:545–52. 10.1016/j.cpr.2012.06.003
    1. Fredrickson BL, Roberts TA. Objectification theory: toward understanding women's lived experiences and mental health risks. Psychol Women Quart. (1997) 21:173–206. 10.1111/j.1471-6402.1997.tb00108.x
    1. Holas P, Kowalczyk M, Krejtz I, Wisiecka K, Jankowski T. The relationship between self-esteem and self-compassion in socially anxious. Curr Psychol. (2022). 10.1007/s12144-021-02305-2

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